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Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery.

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Title: Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery.
Authors: Fan, Jason, Hudson, Julia L, Pakravan, Parastou, Lazzarini, Thomas A, Lin, Benjamin R, Fan, Kenneth C, Yannuzzi, Nicolas A, Sridhar, Jayanth, Townsend, Justin H, Berrocal, Audina M, Smiddy, William E, Vanner, Elizabeth A, Jr, Harry W Flynn
Source: Clinical Ophthalmology; Dec2022, Vol. 16, p4199-4205, 7p
Subject Terms: PARS plana, VISUAL acuity, HEMORRHAGE, TREATMENT effectiveness, VITRECTOMY, SURGERY
Abstract: purpose of the current study is to report outcomes of suprachoroidal hemorrhage (SCH) after anterior segment surgery at a single institution, and to identify clinical features associated with visual prognosis. Methods and Analysis: Retrospective consecutive case series of patients with SCH occurring after anterior segment surgery. Results: The study includes 112 eyes of 112 patients between 2014 and 2020. There were 76 cases of non-appositional SCH versus 36 cases of appositional SCH. The mean presenting visual acuity for patients with non-appositional versus appositional SCH was 2.03 logMAR (SD 0.78) versus 2.39 logMAR (SD 0.43), respectively. Visual acuity outcomes generally remained poor at last follow-up: 64 (58%) patients had a visual acuity (VA) of ≤ 20/200, including 19 (17%) with light perception (LP), and 11 (10%) with no light perception (NLP). Regarding management of non-appositional versus appositional SCH, observation was selected in 46 (61%) vs 12 (33%), delayed drainage in 14 (18%) vs 15 (42%), delayed pars plana vitrectomy in 16 (21%) vs 13 (36%), and VA at last follow-up was 1.2 versus 1.86 logMAR (p=0.002). In patients that were observed, both appositional SCH (p=0.01) and duration of apposition (p=0.04) were correlated with worse outcome. Conclusion: Appositional SCH was associated with poorer visual outcomes compared to non-appositional SCH. Observation remains a reasonable management strategy for non-appositional SCH. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Ophthalmology is the property of Dove Medical Press Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery.
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  Data: Clinical Ophthalmology; Dec2022, Vol. 16, p4199-4205, 7p
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  Data: <searchLink fieldCode="DE" term="%22PARS+plana%22">PARS plana</searchLink><br /><searchLink fieldCode="DE" term="%22VISUAL+acuity%22">VISUAL acuity</searchLink><br /><searchLink fieldCode="DE" term="%22HEMORRHAGE%22">HEMORRHAGE</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+effectiveness%22">TREATMENT effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22VITRECTOMY%22">VITRECTOMY</searchLink><br /><searchLink fieldCode="DE" term="%22SURGERY%22">SURGERY</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: purpose of the current study is to report outcomes of suprachoroidal hemorrhage (SCH) after anterior segment surgery at a single institution, and to identify clinical features associated with visual prognosis. Methods and Analysis: Retrospective consecutive case series of patients with SCH occurring after anterior segment surgery. Results: The study includes 112 eyes of 112 patients between 2014 and 2020. There were 76 cases of non-appositional SCH versus 36 cases of appositional SCH. The mean presenting visual acuity for patients with non-appositional versus appositional SCH was 2.03 logMAR (SD 0.78) versus 2.39 logMAR (SD 0.43), respectively. Visual acuity outcomes generally remained poor at last follow-up: 64 (58%) patients had a visual acuity (VA) of ≤ 20/200, including 19 (17%) with light perception (LP), and 11 (10%) with no light perception (NLP). Regarding management of non-appositional versus appositional SCH, observation was selected in 46 (61%) vs 12 (33%), delayed drainage in 14 (18%) vs 15 (42%), delayed pars plana vitrectomy in 16 (21%) vs 13 (36%), and VA at last follow-up was 1.2 versus 1.86 logMAR (p=0.002). In patients that were observed, both appositional SCH (p=0.01) and duration of apposition (p=0.04) were correlated with worse outcome. Conclusion: Appositional SCH was associated with poorer visual outcomes compared to non-appositional SCH. Observation remains a reasonable management strategy for non-appositional SCH. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Clinical Ophthalmology is the property of Dove Medical Press Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2147/OPTH.S379557
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      – Code: eng
        Text: English
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        PageCount: 7
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    Subjects:
      – SubjectFull: PARS plana
        Type: general
      – SubjectFull: VISUAL acuity
        Type: general
      – SubjectFull: HEMORRHAGE
        Type: general
      – SubjectFull: TREATMENT effectiveness
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      – SubjectFull: VITRECTOMY
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      – SubjectFull: SURGERY
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              M: 12
              Text: Dec2022
              Type: published
              Y: 2022
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